Provider Demographics
NPI:1114324217
Name:KEMPER HOUSE HIGHLAND HEIGHTS OPERATING COMPANY LLC
Entity Type:Organization
Organization Name:KEMPER HOUSE HIGHLAND HEIGHTS OPERATING COMPANY LLC
Other - Org Name:KEMPER HOUSE HIGHLAND HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED REPRESENTITIVE
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-472-4200
Mailing Address - Street 1:10307 DETROIT AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1604
Mailing Address - Country:US
Mailing Address - Phone:216-472-4200
Mailing Address - Fax:216-472-4220
Practice Address - Street 1:407 GOLFVIEW LN
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-4414
Practice Address - Country:US
Practice Address - Phone:440-461-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)